Organization
DIAGNOSTIC & INTERNAL MEDICINE CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE V ZUZUKIN MD (PRESIDENT OWNER)
(409) 833-2929
Entity
Organization
Contact information
Practice address
2929 CALDER STREET, SUITE 308, BEAUMONT, TX 77702
(409) 833-2929
(409) 839-8355
Mailing address
2929 CALDER STREET, SUITE 308, BEAUMONT, TX 77702
(409) 833-2929
(409) 839-8355
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
69255
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8J3606
BCBS
—
Enumeration date
11/20/2006
Last updated
08/22/2020
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